BLUFFS OBGYN AND INCONTINENCE CTR (NPI# 1003868639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003868639 |
| Entity Type | Organization |
| Organization Name | BLUFFS OBGYN AND INCONTINENCE CTR |
| Practice Address |
300 W Broadway Suite 111 Council Bluffs IA 51503-9066 |
| Practice Telephone | 7122568080 |
| Practice Fax Number | 7122568082 |
| Mailing Telephone | 7122568080 |
| Mailing Fax Number | 7122568082 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | CAROL L MCINTYRE (D.O./PRESIDENT) |
| Authorized Official Telephone | 7122568080 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1003868639 | 05 |
| Street Address |
300 W BROADWAY SUITE 111 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-9066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856303 | Kenneth D Burkhart | Family Medicine | 300 W Broadway, Ste 6, Council Bluffs, IA 51503 | 2005-10-24 |
| 1851863716 | Mae Sondra Miller | Counselor | 300 W Broadway, Council Bluffs, IA 51503-9019 | 2018-12-17 |
| 1033587704 | Ashley Paulson | Counselor | 300 W Broadway, #29, Council Bluffs, IA 51503-9019 | 2015-09-10 |
| 1265837298 | Hospice of Central Iowa | Hospice Care, Community Based | 300 W Broadway, Suite 114, Council Bluffs, IA 51503 | 2014-11-04 |
| 1316377286 | Natalie Renee Bussing | Social Worker | 300 W Broadway, Suite 107, Council Bluffs, IA 51503-9078 | 2013-11-13 |
| 1477823581 | Amanda Dawn Carpick | Social Worker | 300 W Broadway, Suite 7, Council Bluffs, IA 51503-9019 | 2012-01-05 |
| 1477837615 | Prairielands Chiropractic Clinic P.C. | Chiropractor | 300 W Broadway, Suite 712, Council Bluffs, IA 51503-9078 | 2011-10-06 |
| 1679874499 | Elaine Pierce Petersen | Social Worker | 300 W Broadway, Suite 6, Council Bluffs, IA 51503-9078 | 2010-11-10 |
| 1508184581 | Diana Elizabeth Hoogestraat | Social Worker | 300 W Broadway, Council Bluffs, IA 51503-9078 | 2010-05-14 |
| 1093943391 | Kudzai Chikwava | Dentist | 300 W Broadway, Suite 6, Council Bluffs, IA 51503-9078 | 2009-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316956493 | Elizabeth D Cox | Obstetrics & Gynecology | 800 Mercy Dr Ste 110, Council Bluffs, IA 51503-3128 | 2006-08-06 |
| 1245205202 | Erik N Schulte | Obstetrics & Gynecology | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2006-02-22 |
| 1942696901 | Tana Friesth Perry | Obstetrics & Gynecology | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2015-04-07 |
| 1457762148 | Stephanie Marie Harris | Obstetrics & Gynecology | 800 Mercy Dr Ste 110, Council Bluffs, IA 51503 | 2014-05-15 |
| 1053540823 | Soan Gily Cruz Ortiz | Obstetrics & Gynecology | 201 Ridge St Ste 307, Council Bluffs, IA 51503-4643 | 2009-07-14 |
| 1598928376 | Emily Marie Lange | Obstetrics & Gynecology | 201 Ridge St, Ste 312, Council Bluffs, IA 51503-4643 | 2008-07-02 |
| 1598923484 | Lori Ann Platt | Obstetrics & Gynecology | 201 Ridge St, St. 312, Council Bluffs, IA 51503-4643 | 2008-05-28 |
| 1134283013 | Alegent Creighton Clinic | Obstetrics & Gynecology | 800 Mercy Dr, Suite 210, Council Bluffs, IA 51503-3128 | 2006-12-21 |
| 1750492393 | Norman E Ferrer | Obstetrics & Gynecology | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2006-08-31 |
| 1629189139 | Jorge F Sotolongo | Obstetrics & Gynecology | 201 Ridge St, #307, Council Bluffs, IA 51503-4643 | 2006-08-31 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.